Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BARAYA, EDGAR

NPI: 1538131388 · BRONX, NY 10473 · Internal Medicine Physician · NPI assigned 02/06/2006

$75K
Total Medicaid Paid
6,325
Total Claims
6,059
Beneficiaries
23
Codes Billed
2018-01
First Month
2022-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 718 $9K
2019 778 $13K
2020 1,266 $13K
2021 2,056 $21K
2022 1,507 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,096 2,927 $65K
99490 Ccm add 20min 372 370 $4K
99439 312 306 $4K
90688 87 86 $690.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 90 90 $629.70
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 12 $356.32
1160F 958 919 $355.54
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $227.57
1159F 954 913 $181.02
90756 16 16 $166.20
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 55 55 $88.00
G0008 Administration of influenza virus vaccine 12 12 $21.42
G0444 Annual depression screening, 5 to 15 minutes 12 12 $10.84
1494F 12 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 80 77 $0.00
3725F 74 74 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 27 27 $0.00
3288F 12 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 13 12 $0.00
1220F 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 55 55 $0.00
1036F 37 36 $0.00
1101F 12 12 $0.00